Range of Motion, Inc. publishes the disclosures below in one place so that patients, caregivers, referring clinicians, payers and surveyors can find them quickly. Every item is also linked in the footer of each page on this site, and every item is available free of charge in print on request.
Required disclosures
Medicare DMEPOS Supplier Standards
All thirty standards reproduced in full, with a printable PDF. Required by 42 C.F.R. § 424.57(c); standard 16 requires us to disclose them to every beneficiary we supply with a Medicare-covered item.
Notice of Privacy Practices
How we use and protect your health information, and your rights over it. Required by the HIPAA Privacy Rule, 45 C.F.R. § 164.520.
Nondiscrimination & Language Assistance
Our nondiscrimination commitment, free language assistance, and how to file a civil rights grievance. Required by Section 1557 of the Affordable Care Act, 45 C.F.R. Part 92.
Patient Rights & Responsibilities
What you can expect from us and what we ask of you, including your right to raise a concern without fear of retaliation. Required under the CMS DMEPOS quality standards and our Joint Commission accreditation.
Financial Policy
How insurance, deductibles, coinsurance and copays are handled, when you may owe a balance, and how to ask for help if you cannot afford your share.
Returns, Repairs & Equipment Pickup
Warranty coverage, repair and replacement of rented equipment at no cost to you, and returns of substandard or unsuitable items. Required by supplier standards 6, 14 and 15.
Common billing and equipment questions
Plain-language answers about Explanation of Benefits statements, cost sharing, delivery and CPM equipment.
Website Privacy, Cookies & Terms of Use
What happens to information when you use this website, what cookies it sets, and the terms on which we offer it. Separate from the HIPAA notice above, which covers your health information.
Everything in one document
The Patient Care and Compliance Information Packet (PDF) collects these disclosures into a single printable document. A copy is provided to every patient at the time of delivery.
Accreditation and Medicare enrollment
Range of Motion, Inc. is accredited by The Joint Commission and is an enrolled, Medicare-approved DMEPOS supplier. We are licensed and accredited for the product categories we supply, and we meet the surety bond, insurance and facility requirements set out in 42 C.F.R. § 424.57.
Requesting a paper copy
Any disclosure listed on this page will be mailed to you free of charge. Call (770) 991-4417 or email orders@rangeofmotion.us and tell us which one you need. Large-print copies and free language assistance are available on request.
Reporting a concern
Please call us first at (770) 991-4417. You may report anonymously, and we will not retaliate against you for raising a concern. You may also contact The Joint Commission, Medicare, the Georgia Department of Community Health, or the HHS Office for Civil Rights directly, without contacting us first — their phone numbers are in the footer of this page.
Company information
Range of Motion, Inc.
6689 Peachtree Industrial Blvd., Suite A
Peachtree Corners, GA 30092
(770) 991-4417
orders@rangeofmotion.us
Monday–Friday, 9:00 AM–5:00 PM Eastern. A technician is available 24 hours a day for urgent equipment problems. For a life-threatening emergency, call 911.